<style>
    .form-search .layui-form-label {
         display: block;
    }
</style>
<form  class="layui-form layui-form-pane form-search" action="/pcs/order/index" onsubmit="return false" method="get" autocomplete="off">
    <div class="layui-form-item layui-inline">
        <label class="layui-form-label">订单号</label>
        <div class="layui-input-inline">
            <input name="sn" value="" placeholder="请输入患者姓名" class="layui-input">
        </div>
    </div>
    <div class="layui-form-item layui-inline">
        <label class="layui-form-label">患者姓名</label>
        <div class="layui-input-inline">
            <input name="patientName" value="" placeholder="请输入患者姓名" class="layui-input">
        </div>
    </div>
    <div class="layui-form-item layui-inline">
        <label class="layui-form-label">患者病区</label>
        <div class="layui-input-inline">
            <input name="depName" value="" placeholder="请输入患者病区" class="layui-input">
        </div>
    </div>
    <div class="layui-form-item layui-inline">
        <label class="layui-form-label">患者床位</label>
        <div class="layui-input-inline">
            <input name="bedNo" value="" placeholder="请输入患者床位" class="layui-input">
        </div>
    </div>
    <div class="layui-form-item layui-inline">
        <label class="layui-form-label">陪护员</label>
        <div class="layui-input-inline">
            <input name="porterName" value="" placeholder="请输入陪护员" class="layui-input">
        </div>
    </div>
    <div class="layui-form-item layui-inline">
        <label class="layui-form-label">自理能力</label>
        <div class="layui-input-inline">
            <select name="ability" >
                <option value="">全部</option>
                <option value="1">基本自理</option>
                <option value="2">半自理</option>
                <option value="3">完全失能</option>
            </select>
        </div>
    </div>
    <div class="layui-form-item layui-inline">
        <label class="layui-form-label">订单状态</label>
        <div class="layui-input-inline">
            <select name="orderStatus" >
                <option value="">全部</option>
                <option value="-1">已取消</option>
                <option value="0">待确认</option>
                <option value="1">待签订合同</option>
                <option value="2">服务中</option>
                <option value="3">等待充值</option>
                <option value="4">等待日期选择</option>
                <option value="5">服务完成 待评价</option>
                <option value="6">已评价</option>
            </select>
        </div>
    </div>


    <div class="layui-form-item layui-inline">
        <button class="layui-btn layui-btn-primary"><i class="layui-icon">&#xe615;</i> 搜 索</button>
        <button type="reset" class="layui-btn layui-btn-primary" onclick="$.form.reload();">重置</button>
    </div>
</form>